Dr Chandler J Birks, DPT | |
3303 N University Ave, Provo, UT 84604-4438 | |
(801) 373-7438 | |
(801) 373-7486 |
Full Name | Dr Chandler J Birks |
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Gender | Male |
Speciality | Physical Therapist |
Location | 3303 N University Ave, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447935515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 7794905-2401 (Utah) | Primary |
Provider Name | Spine Orthopedic And Sports Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447275946 PECOS PAC ID: 1850320805 Enrollment ID: O20050810000154 |
Mailing Address | Practice Location Address |
---|---|
Dr Chandler J Birks, DPT 881 E 1160 S, Salem, UT 84653-5546 Ph: (385) 219-5850 | Dr Chandler J Birks, DPT 3303 N University Ave, Provo, UT 84604-4438 Ph: (801) 373-7438 |
Rhonda L Metcalf, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Brandon Niel Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 N 2830 W, Provo, UT 84601 Phone: 801-310-2207 | |
Ms. Maryjane Ligairi, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Jacie Saltzman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Monica Maria Alvarez Hinckley, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1157 N 300 W, Provo, UT 84604 Phone: 801-357-1250 Fax: 801-357-1255 | |
Independence Rehab, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 5314 River Run Dr, Suite 140, Provo, UT 84604 Phone: 801-494-0486 Fax: 801-494-0533 | |
Bridger Park, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 North 500 West, Provo, UT 84604 Phone: 801-357-1250 |